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VIO3.user-manual-II-3232215

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5 • Working with VIO 3
Subprograms, changing between subprograms
Subprograms can only be created by authorized persons. Each program can have up
to 6 subprograms.
Different settings are saved in the subprograms of a program for the instruments. Settings may be e.g. mode, effect or assignment of a footswitch. Subprograms therefore
offer you the possibility of switching settings of an instrument, without changing the
mode, effect, footswitch assignment etc. on the touchscreen.
Appearance of subprograms
3
1
2
Fig. 5-21
You see subprograms as tabs under the name of the program (3). Example: Subprogram monopolar (1) and bipolar (2). The tab of the active subprogram is highlighted
with a bold border.
Changing between subprograms
 Press the ReMode button of the footswitch.
– Or –
 If the handpiece of the instrument has a ReMode button, press the ReMode button
of the handpiece.
– Or –
 An assistant can touch the tab of the subprogram on the touchscreen.
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Function of subprograms
5 • Working with VIO 3
Functions in the “Menu” screen
Call up the User Manual
1. Call up the Menu with the Menu button.
2. Select the User Manual menu item in the left column.
The VIO 3 User Manual is opened on the display.
1. Call up the Menu with the Menu button.
2. Select the Last messages menu item in the left column.
The Last messages screen shows you the last messages VIO 3 has displayed.
Changing system settings
The Menu offers you the opportunity to change various system settings (e.g. Brightness, Volume, Start screen etc.).
1. Call up the Menu with the Menu button.
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Last messages called up
Fig. 5-22
Note: You can change the global Volume and Brightness directly in the Menu. You will
find detailed setting options for Volume or Brightness, as well as a series of further
system parameters, under menu item Further settings.
2. Change the global Volume or Brightness using the appropriate controller.
– Or –
3. Touch the Further settings button.
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Fig. 5-23
The Further settings screen is displayed.
4. Scroll through the list, as required.
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5 • Working with VIO 3
Fig. 5-24
The above figure shows the lower part of the list.
5. Select the setting you wish to change.
A different setting screen opens depending on the setting selected.
6. Carry out the required setting.
Note: The Protected settings at the end of the list are not accessible for the user. The
Protected settings can be changed as you wish by an authorized person.
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Fig. 5-25
WiFi function
WiFi On / Of
The WiFi function serves to connect the VIO 3 with a Windows PC or an iPad on which
the Erbe Support App is installed. With the help of a WiFi connection, user programs
can be replaced and service functions can be perceived by registered persons.
You can switch the WiFi on and off in the Menu screen. If you switch on WiFi, a network
name and password are displayed for you after a short time.
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5 • Working with VIO 3
Connecting a Windows PC or iPad with VIO 3
1. Switch on the VIO 3 WiFi.
2. Display the network in the system settings of your unit.
3. Search for the name of the VIO 3 network.
4. Enter the VIO 3 password.
Service functions
Editing mode
The service functions behind the Service menu item are only accessible for the service
personnel.
The editing mode is only accessible for the authorized persons.
The editing mode is described in detailed in the chapter “Editing mode” (see page 67).
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5 • Working with VIO 3
Overwriting a modified program or saving as a new program
Fig. 5-26
You can overwrite a modified program or save it as a new program. Saving modified
programs must be permitted in the Protected settings for this purpose.
1. Touch the screen title.
If Saving modified programs is blocked, the Program list opens and the modified program is shown in the list with the supplement changed (without figure). You can return
to the unmodified program or to the modified program.
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If you have changed a program setting, the program name in the screen title is provided with the supplement changed.
Fig. 5-27
If Saving modified programs is permitted, the Save settings? window opens.
2. Overwrite the existing program or save the modified program under a new name.
Alternatively, you can reject the changes (= irrevocably deleted) or return to the
modified program without action with the Back button.
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5 • Working with VIO 3
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5 • Working with VIO 3
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6 • Editing mode
Authorized persons
The editing mode is only accessible for the authorized persons.
The editing mode may only be used by competent persons who can precisely assess
the impacts of the changes undertaken.
Editing options
The editing mode offers the following options:
• Changing the unit name (in the Program group list screen title)
• Renaming, adding or deleting program groups, programs, subprograms and
instruments
• Adding/changing pictograms in the Program group list and the Program list
• Changing program settings, such as mode and effect, without the changes having
to be saved separately.
Note: In the editing mode, all changes are automatically accepted without a confirmation request. Changes can only be undone manually, e.g. by repeated entry of the previous names, values, etc.
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Chapter 6
Editing mode
Renaming, adding and deleting elements
Selecting the screen
You can edit the following screens:
• Program group list
• Program list
• Main screen
 Select the screen in which you wish to edit, e.g. Program list.
Switch on editing mode
Note: The unit cannot be activated in the editing mode.
Note: The editing mode, once switched on, remains active until the editing mode or
the unit is switched off.
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6 • Editing mode
Fig. 6-1
2. Slide the Editing mode switch to ON.
The screen keyboard is displayed. You are requested to enter a password.
3. Enter the password on the screen keyboard and touch the Enter button.
4. Close the Menu.
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1. Call up the Menu with the Menu button.
Fig. 6-2
The screen is displayed from which you called up the menu. The “Editing functions”
field appears on the left side of the screen.
Using the arrow on the left side of the screen, you can show or hide the “Editing functions” field on the left side of the screen, as required.
Selecting the editing function
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Note: To add, delete or rename elements, there is a dedicated editing function. You
can change program settings (e.g. mode and effect) without selecting an editing function.
Fig. 6-3
In the “Editing functions” field you can select between the following editing functions:
“Rename”, “Add”, and “Delete” (from top to bottom).
 Touch the required editing function (e.g. “Rename”).
The selected function and the editable elements are color-marked.
Performing change
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6 • Editing mode
Fig. 6-4
1. Touch the element you wish to edit (e.g. a program name).
A different window is displayed depending on the element and editing mode. By
touching the program name, the screen keyboard opens, for example.
2. Carry out the required change.
The selected editing function is automatically ended after each change. For each further change you have to select the required editing function again.
Switching off the editing mode
1. Call up the Menu with the Menu button.
2. Slide the Editing mode switch to OFF and close the Menu.
Note: When you switch off the unit, the editing mode is automatically ended.
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6 • Editing mode
Creating a new program with two subprograms
The following describes, by way of example, how you create a program with two subprograms for laparoscopy.
Subprograms at a glance
The tables show both subprograms created in the example.
Subprogram 1 “monopolar”
Instrument 1:
monopolar scissors
Instrument 2:
bipolar coagulation
forceps
CUT mode
dryCUT
–
CUT effect
4
–
COAG mode
swiftCOAG
–
COAG effect
5
–
Assigned
footswitch
Two-pedal footswitch
–
Subprogram 2 “bipolar”
Instrument 1:
monopolar scissors
Instrument 2:
bipolar coagulation
forceps
CUT mode
–
–
CUT effect
–
–
COAG mode
–
softCOAG bipolar
COAG effect
–
5
Assigned
footswitch
–
Two-pedal footswitch
Switch on editing mode
 Switch on the editing mode in the Menu and close the Menu.
Creating a new program
1. Call up the Program list to which you wish to add a new program.
2. In the “Editing function” field on the left side of the screen, select the “Add” editing function.
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In the example described, it is assumed that no instruments and no return electrode
are connected when editing.
Fig. 6-5
3. Touch the plus button in the Program list.
The screen keyboard is displayed.
4. Enter the required program name, e.g. “Laparoscopic procedure” on the screen
keyboard.
5. Confirm the program name with the Enter button.
Adding instruments
1. Select the new program Laparoscopic procedure.
The Main screen is displayed.
2. Select the “Add” editing function.
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6 • Editing mode
Fig. 6-6
3. Touch the big plus button labeled Unknown.
4. Select the Monopolar instrument option.
5. Select the Scissors instrument and confirm the selection with the Close button.
6. Select the “Add” editing function.
7. Touch the big plus button labeled Unknown.
8. Select the Bipolar instrument option.
9. Select the Coagulation forceps instrument and confirm the selection with the
Close button.
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6 • Editing mode
1. Select the “Add” editing function.
Fig. 6-7
2. Touch the New subprogram2 tab.
3. Enter the required subprogram name (e.g. “bipolar”) on the screen keyboard and
touch the Enter button.
4. Select the “Rename” editing function.
5. Touch the New subprogram1 tab.
6. Enter the required subprogram name (e.g. “monopolar”) on the screen keyboard
and touch the Enter button.
Editing the monopolar subprogram
1. Select the tab of the monopolar subprogram.
2. Touch the symbol of the Monopolar scissors instrument.
3. Assign the scissors to the two-pedal footswitch by dragging the footswitch symbol from the “Activation type” field to the instrument.
4. Select the CUT mode dryCUT.
5. Set the CUT effect to 4.
6. Select the COAG mode swiftCOAG.
7. Set the COAG effect to 5.
The Main screen now looks as follows:
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Creating subprograms
Fig. 6-8
Editing the bipolar subprogram
1. Select the tab of the bipolar subprogram.
2. Touch the symbol of the Coagulation forceps instrument.
3. Assign the coagulation forceps to the two-pedal footswitch by dragging the
footswitch symbol from the “Activation type” field to the instrument.
4. Select softCOAG bipolar as the COAG mode.
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6 • Editing mode
5. Set the COAG effect to 5.
The Main screen now looks as follows:
Fig. 6-9
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6 • Editing mode
Switching off the editing mode
 Switch off the editing mode in the Menu.
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Note: When you switch off the unit, the editing mode is automatically ended.
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7 • Description of receptacle hardware
Individual socket configuration
You can individually configure the sockets of your unit when ordering the unit.
Purchasing further receptacles
After purchase, it is possible to add further sockets or to replace existing sockets with
others. Please contact Erbe Elektromedizin. You will find the addresses in this User
Manual.
Monopolar socket MO 3-pin; 9/5
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Chapter 7
Description of receptacle hardware
Fig. 7-1
Erbe No. 20160-001
Connectors supported
• 3-pin single use
• 3-pin reusable
• 9/5
Monopolar socket MO 3-pin; Bovie
Fig. 7-2
Erbe No. 20160-002
Connectors supported
• 3-pin single use
• 3-pin reusable
• Bovie jack
75 / 158
7 • Description of receptacle hardware
Fig. 7-3
Erbe No. 20160-003
Connectors supported
• 2-pin single use (22 or 28.5 mm pin distance)
• 2-pin reusable (22 or 28.5 mm pin distance)
• 8/4
Multifunction socket MF
Fig. 7-4
Erbe No. 20160-004
Connectors supported
• MF plug
MF-U socket
Fig. 7-5
Erbe No. 20160-005
Connectors supported
• 3-pin single use
• 3-pin reusable
• 2-pin single use (22 or 28.5 mm pin distance)
• 2-pin reusable (22 or 28.5 mm pin distance)
• MF-2
• MF-U
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Bipolar socket BI 2-pin 22–28; 8/4
7 • Description of receptacle hardware
Fig. 7-6
Function
Connectors supported
The receptacle is used to connect a neutral electrode.
You can connect ONE of the following connectors as required: Erbe patient plate connector (Ø 6.35 mm); patient plate connector with 2 pins. The receptacle is equipped
with a slide switch. Depending on the position of this switch, either a Ø 6.35 mm or a
2-pin connector is permitted (see the illustration above).
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return electrode socket NE 6; 2-pin
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7 • Description of receptacle hardware
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8 • Monopolar CUT modes
autoCUT
Properties
PPS (Power Peak System)
Reproducible, smooth cuts, minimal to moderate hemostasis.
The autoCUT mode is equipped with PPS.
A special problem during incision may be posed by the initial incision phase, in particular when the cutting electrode is pressed firmly against the tissue to be cut, before
activation of the HF generator. The cutting electrode therefore has a relatively extensive, low-resistance contact with the tissue, e.g. in TUR.
In such cases, the HF generator must offer an above-average output so that the initial
incision is not delayed, as otherwise an excessive coagulation necrosis may be produced at the point of initial incision.
The VIO 3 is equipped with automatic power control (PPS). PPS detects low resistance
loads and controls the HF generator such that it briefly provides sufficient output to
ensure the HF voltage necessary or intensity of the electrical arc for the cutting quality
selected even with low-resistance loads.
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Chapter 8
Monopolar CUT modes
Thanks to PPS, the average output can be limited to relatively low levels, something
which represents improved protection from unintentional thermal tissue damage.
Areas of use
Technical data
All cutting procedures in electrically conductive tissue: e.g. muscle tissue and vascular
tissue. Dissections and cutting of fine structures.
Type of HF voltage
Unmodulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
1.62 (at RL = 300 Ohm)
Designed load resistance
300 Ohm
Max. HF peak voltage
750 V
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
400 watts
79 / 158
8 • Monopolar CUT modes
Diagrams
autoCUT
400
300
Eī 10
Eī 9.0
Eī 8.0
Power [W]
250
Eī 7.0
Eī 6.0
200
Eī 5.0
Eī 4.0
150
Eī 3.0
Eī 2.0
100
Eī 1.0
Eī 0.1
50
0
100,0
1000,0
Resistance [ohm]
Fig. 8-1
800
350
700
300
600
250
500
200
400
150
300
100
200
50
100
0
0
0
1
2
3
4
5
Eīect
Fig. 8-2
80 / 158
6
7
8
9
10
Peak Voltage [V]
400
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autoCUT
Power [W]
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350
Power
Upmax
8 • Monopolar CUT modes
highCUT
PPS (Power Peak System)
Reproducible, smooth cuts, in particular in poorly conductive and varying tissue.
The highCUT mode is equipped with PPS.
A special problem during incision may be posed by the initial incision phase, in particular when the cutting electrode is pressed firmly against the tissue to be cut, before
activation of the HF generator. The cutting electrode therefore has a relatively extensive, low-resistance contact with the tissue, e.g. in TUR.
In such cases, the HF generator must offer an above-average output so that the initial
incision is not delayed, as otherwise an excessive coagulation necrosis may be produced at the point of initial incision.
The VIO 3 is equipped with automatic power control (PPS). PPS detects low resistance
loads and controls the HF generator such that it briefly provides sufficient output to
ensure the HF voltage necessary or intensity of the electrical arc for the cutting quality
selected even with low-resistance loads.
Thanks to PPS, the average output can be limited to relatively low levels, something
which represents improved protection from unintentional thermal tissue damage.
Areas of use
Technical data
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Properties
For example, for cutting fat-containing structures, cutting under water, e.g. with TURP.
Type of HF voltage
Unmodulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
1.62 (at RL = 300 Ohm)
Designed load resistance
300 Ohm
Max. HF peak voltage
1100 V
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of arc intensity
Max. output across the designed load
resistor
400 watts
81 / 158
8 • Monopolar CUT modes
Diagrams
highCUT
400
350
Eī 10
Eī 9.0
250
Eī 8.0
Power [W]
Eī 7.0
Eī 6.0
200
Eī 5.0
Eī 4.0
150
Eī 3.0
Eī 2.0
100
Eī 1.0
Eī 0.1
50
0
100,0
1000,0
Resistance [ohm]
Fig. 8-3
highCUT
400
1200
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350
1000
300
200
600
150
400
100
200
50
0
0
0
1
2
3
4
5
Eīect
Fig. 8-4
82 / 158
6
7
8
9
10
Peak Voltage [V]
800
250
Power [W]
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300
Power
Upmax
8 • Monopolar CUT modes
dryCUT®
Areas of use
Technical data
Reproducible, slightly slower cut with pronounced hemostasis.
For example, cuts in “open surgery” and cuts in endoscopic operations that require
very good primary hemostasis during the cut and require a somewhat slower cutting
speed.
Type of HF voltage
Pulse-modulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
Effect: 0.1 – 4.9: 3.1 (at RL = 300 Ohm)
Effect: 5.0 – 7.9: 3.38 (at RL =
300 Ohm)
Effect: 8.0 – 10.0: 3.8 (at RL =
300 Ohm)
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Properties
Designed load resistance
300 Ohm
Max. HF peak voltage
1400 V
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
240 watts
83 / 158
8 • Monopolar CUT modes
Diagrams
dryCUT
250
200
Eī 9.0
Eī 8.0
Power [W]
150
Eī 7.0
Eī 6.0
Eī 5.0
100
Eī 4.0
Eī 3.0
Eī 2.0
Eī 1.0
50
Eī 0.1
0
100,0
1000,0
Resistance [ohm]
Fig. 8-5
dryCUT
250
1600
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1400
200
1000
150
800
100
600
400
50
200
0
0
0
1
2
3
4
5
Eīect
Fig. 8-6
84 / 158
6
7
8
9
10
Peak Voltage [V]
1200
Power [W]
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Eī 10
Power
Upmax
8 • Monopolar CUT modes
Properties
The cut consists of alternating cutting and coagulating phases. The cut is easy to control and is characterised by a reproducible, preselectable coagulation property while
cutting.
Areas of use
Endoscopic interventions in which alternating cutting and coagulation with activation
is called for.
Cutting duration
Depending on the size, type and location of lesions, it may be advantageous to vary
cutting duration. You can set cutting duration to one of 4 levels. Cutting duration has
a major influence on cutting width.
Cutting interval
The cutting interval is the amount of time between the start of a cutting cycle and the
start of the next cutting cycle. The cutting interval thus comprises one cutting cycle
and one coagulation cycle. You can set the cutting interval to one of 10 levels. The
higher the level, the longer the cutting interval and coagulation cycle. A short cutting
interval makes it easier to remove the lesion quickly. A long cutting interval makes it
easier to remove the lesion slowly under control.
Technical data
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endoCUT® I
Type of HF voltage
Unmodulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
Initial incision: 1.54 (at RL = 100 Ohm)
Designed load resistance
100 Ohm
Max. HF peak voltage
700 V
Number of effects
1–4
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
110 watts
85 / 158
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Power [W]
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8 • Monopolar CUT modes
Diagram
100
endoCUT I
90
80
70
60
50
Cuƫng stage max. Power
40
Cuƫng stage min. Power
30
20
10
0
100
Resistance [ohm]
86 / 158
1000
Fig. 8-7
8 • Monopolar CUT modes
Properties
The cut consists of alternating cutting and coagulating phases. The cut is easy to control and is characterised by a reproducible, preselectable coagulation property while
cutting.
Areas of use
Endoscopic interventions in which alternating cutting and coagulation with activation
is called for.
Cutting duration
Depending on the size, type and location of lesions, it may be advantageous to vary
cutting duration. You can set cutting duration to one of 4 levels. Cutting duration has
a major influence on cutting width.
Cutting interval
The cutting interval is the amount of time between the start of a cutting cycle and the
start of the next cutting cycle. The cutting interval thus comprises one cutting cycle
and one coagulation cycle. You can set the cutting interval to one of 10 levels. The
higher the level, the longer the cutting interval and coagulation cycle. A short cutting
interval makes it easier to remove the lesion quickly. A long cutting interval makes it
easier to remove the lesion slowly under control.
Technical data
80114-601
03.16
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
endoCUT® Q
Type of HF voltage
Unmodulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
Initial incision: 1.63 (at RL = 300 Ohm)
Designed load resistance
300 Ohm
Max. HF peak voltage
800 V
Number of effects
1–4
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
330 watts
87 / 158
80114-601
03.16
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
8 • Monopolar CUT modes
Diagram
300
endoCUT Q
250
200
150
Cuƫng stage max. Power
Cuƫng stage min. Power
100
50
0
100
Resistance [ohm]
88 / 158
1000
Fig. 8-8
9 • Monopolar COAG modes
softCOAG®
Properties
Slow, deep coagulation without spark generation, consequently no carbonization of
the tissue. Adhesion of the electrode to the tissue is greatly reduced.
Areas of use
All surgical procedures that call for safe, “deep” coagulation or in which adhesion of
the electrode would have a negative effect on the coagulation process.
AUTO STOP switchable
AUTO STOP ends activation automatically on attainment of sufficient desiccation.
Touch the arrow on the lower edge of the main screen if required. The Assign activation type field opens. Drag the AUTO STOP symbol to the docking point of the required
instrument.
QuickStart switchable
80114-601
03.16
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Chapter 9
Monopolar COAG modes
With QuickStart, a brief voltage pulse is applied to the tissue to attain a tissue effect
quicker, without essentially influencing the coagulation result.
Touch the COAG effect display on the main screen if required. A window opens in which
you can switch on QuickStart.
Technical data
Type of HF voltage
Unmodulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
1.52 (at RL = 25 Ohm)
Designed load resistance
25 Ohm
Max. HF peak voltage
200 V
450 V QuickStart
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
240 watts
89 / 158
9 • Monopolar COAG modes
Diagrams
soŌCOAG
250
Eī 10
Eī 9.0
Eī 8.0
150
Power [W]
Eī 7.0
Eī 6.0
Eī 5.0
100
Eī 4.0
Eī 3.0
Eī 2.0
Eī 1.0
50
Eī 0.1
0
10,0
100,0
1000,0
Resistance [ohm]
Fig. 9-1
soŌCOAG
250
80114-601
03.16
500
450
200
400
300
150
250
200
100
150
100
50
50
0
0
0
1
2
3
4
5
Eīect
Fig. 9-2
90 / 158
6
7
8
9
10
Peak Voltage [V]
350
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
200
Power
Power QuickStart
Upmax
Upmax QuickStart
9 • Monopolar COAG modes
forcedCOAG®
Areas of use
AUTO STOP switchable
Effective, fast “standard” coagulation.
Contact coagulation, clamp coagulation, e.g. via insulated monopolar forceps.
On detection of a spark, adhesion of tissue to the instrument and carbonization is significantly reduced by automatically switching off.
Touch the arrow on the lower edge of the main screen if required. The Assign activation type field opens. Drag the AUTO STOP symbol to the docking point of the required
instrument.
Technical data
80114-601
03.16
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Properties
Type of HF voltage
Pulse-modulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
5.8 (at RL = 300 Ohm)
Designed load resistance
300 Ohm
Max. HF peak voltage
1800 V
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
144 watts
91 / 158
9 • Monopolar COAG modes
Diagrams
forcedCOAG
140
Eī 10
100
Eī 9.0
Eī 8.0
Power [W]
80
Eī 7.0
Eī 6.0
Eī 5.0
60
Eī 4.0
Eī 3.0
Eī 2.0
40
Eī 1.0
Eī 0.1
20
0
100
1000
Resistance [ohm]
Fig. 9-3
forcedCOAG
140
80114-601
03.16
2000
1800
120
1600
100
1400
1200
80
1000
60
800
600
40
400
20
200
0
0
0
1
2
3
4
5
Eīect
Fig. 9-4
92 / 158
6
7
8
9
10
Peak Voltage [V]
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
120
Power
Upmax
9 • Monopolar COAG modes
swiftCOAG®
Areas of use
Technical data
Fast, effective coagulation, which is highly suitable for preparation with high hemostasis owing to its limited tissue-cutting property.
Coagulation and preparation.
Type of HF voltage
Pulse-modulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
6.0 (at RL = 200 Ohm)
Designed load resistance
200 Ohm
Max. HF peak voltage
2500 V
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
240 watts
Diagrams
swiŌCOAG
250
80114-601
03.16
200
Eī 10
Eī 9.0
Eī 8.0
150
Eī 7.0
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Properties
Eī 6.0
Eī 5.0
100
Eī 4.0
Eī 3.0
Eī 2.0
Eī 1.0
50
Eī 0.1
0
100
1000
Resistance [ohm]
Fig. 9-5
93 / 158
80114-601
03.16
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
250
200
150
1500
100
50
0
0
94 / 158
1
2
3
4
5
6
7
8
9
Peak Voltage [V]
9 • Monopolar COAG modes
swiŌCOAG
3000
2500
2000
Power
1000
Upmax
500
10
0
Eīect
Fig. 9-6
9 • Monopolar COAG modes
sprayCOAG®
Areas of use
Technical data
Contact-free, efficient surface coagulation, with low penetration depth.
Coagulation of diffuse hemorrhage. Only use insulated monopolar metal forceps for
clamp coagulation.
Type of HF voltage
Pulse-modulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
7.74 (at RL = 500 Ohm)
Designed load resistance
500 Ohm
Max. HF peak voltage
4300 V
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
175 watts
Diagrams
sprayCOAG
160
80114-601
03.16
140
120
Eī 10
Eī 9.0
100
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Properties
Eī 8.0
Eī 7.0
Eī 6.0
80
Eī 5.0
Eī 4.0
60
Eī 3.0
Eī 2.0
40
Eī 1.0
Eī 0.1
20
0
100
1000
Resistance [ohm]
Fig. 9-7
95 / 158
80114-601
03.16
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
160
140
100
96 / 158
3000
80
2500
60
2000
20
0
0
1
2
3
4
5
6
7
8
9
Peak Voltage [V]
9 • Monopolar COAG modes
sprayCOAG
5000
4500
120
4000
3500
Power
Upmax
40
1500
1000
500
10
0
Eīect
Fig. 9-8
9 • Monopolar COAG modes
preciseSECT
Areas of use
Technical data
Fast, effective coagulation, with limited tissue-cutting property. Optimized preparation
characteristics through dynamic adaptation of modulation.
Coagulation, clamp coagulation and preparation
Type of HF voltage
Pulse-modulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
4.0 (at RL = 300 Ohm)
Designed load resistance
300 Ohm
Max. HF peak voltage
1800 V
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
144 watts
Diagrams
140
80114-601
03.16
preciseSECT
120
Eī 10
100
Eī 9.0
Eī 8.0
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Properties
80
Eī 7.0
Eī 6.0
Eī 5.0
60
Eī 4.0
Eī 3.0
Eī 2.0
40
Eī 1.0
Eī 0.1
20
0
100,0
1000,0
Resistance [ohm]
Fig. 9-9
97 / 158
80114-601
03.16
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
140
100
80
98 / 158
1200
1000
60
800
40
0
0
1
2
3
4
5
6
7
8
9
Peak Voltage [V]
9 • Monopolar COAG modes
preciseSECT
2000
120
1800
1600
1400
Power
Upmax
600
20
400
200
10
0
Eīect
Fig. 9-10
9 • Monopolar COAG modes
twinCOAG®
Fast, effective coagulation, which is highly suitable for preparation with high hemostasis owing to its limited tissue-cutting property. Two monopolar instruments can be
activated at the same time.
WARNING! In the twinCOAG mode, the output power of any of the active electrodes
can change.
Areas of use
Technical data
Coagulation and preparation with simultaneous activation
Type of HF voltage
Pulse-modulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
5.9 (at RL = 150 Ohm)
Designed load resistance
150 Ohm
Max. HF peak voltage
2000 V
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
240 watts
Diagrams
twinCOAG
250
200
Eī 10
Eī 9.0
Eī 8.0
150
Eī 7.0
Power [W]
80114-601
03.16
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Properties
Eī 6.0
Eī 5.0
100
Eī 4.0
Eī 3.0
Eī 2.0
Eī 1.0
50
Eī 0.1
0
100
1000
Resistance [ohm]
Fig. 9-11
99 / 158
80114-601
03.16
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
250
2500
200
2000
150
1500
100
1000
50
500
0
0
100 / 158
1
2
3
4
5
6
7
8
9
Peak Voltage [V]
9 • Monopolar COAG modes
twinCOAG
Power
Upmax
10
0
Eīect
Fig. 9-12
10 • Bipolar CUT modes
autoCUT bipolar
Properties
Areas of use
Technical data
80114-601
03.16
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Chapter 10
Bipolar CUT modes
Reproducible, smooth cuts, minimal to moderate hemostasis.
All cutting procedures in electrically conductive tissue: e.g. muscle tissue and vascular
tissue. Dissections and cutting of fine structures.
Type of HF voltage
Unmodulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
1.64 (at RL = 300 Ohm)
Designed load resistance
300 Ohm
Max. HF peak voltage
675 V
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
120 watts
101 / 158
10 • Bipolar CUT modes
Diagrams
autoCUT bipolar
120
Eī 10
Eī 9.0
Power [W]
80
Eī 8.0
Eī 7.0
Eī 6.0
60
Eī 5.0
Eī 4.0
Eī 3.0
40
Eī 2.0
Eī 1.0
20
Eī 0.1
0
10,0
100,0
1000,0
Resistance [ohm]
Fig. 10-1
autoCUT bipolar
80114-601
03.16
800
120
700
100
600
500
60
400
300
40
200
20
100
0
0
0
1
2
3
4
5
Eīect
Fig. 10-2
102 / 158
6
7
8
9
10
Peak Voltage [V]
80
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
100
Power
Upmax
10 • Bipolar CUT modes
highCUT bipolar
PPS (Power Peak System)
Reproducible, smooth cuts, low to moderate hemostasis.
The highCUT bipolar mode is equipped with PPS.
A special problem during incision may be posed by the initial incision phase, in particular when the cutting electrode is pressed firmly against the tissue to be cut, before
activation of the HF generator. The cutting electrode therefore has a relatively extensive, low-resistance contact with the tissue, e.g. in TUR.
In such cases, the HF generator must offer an above-average output so that the initial
incision is not delayed, as otherwise an excessive coagulation necrosis may be produced at the point of initial incision.
The VIO 3 is equipped with automatic power control (PPS). PPS detects low resistance
loads and controls the HF generator such that it briefly provides sufficient output to
ensure the HF voltage necessary or intensity of the electrical arc for the cutting quality
selected even with low-resistance loads.
Thanks to PPS, the average output can be limited to relatively low levels, something
which represents improved protection from unintentional thermal tissue damage.
Areas of use
Technical data
80114-601
03.16
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Properties
Cutting procedures in bipolar resection in NaCl.
Type of HF voltage
Unmodulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
1.46 (at RL = 75 Ohm)
Designed load resistance
75 Ohm
Max. HF peak voltage
725 V
Number of effects
1 – 10
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
400 watts
103 / 158
10 • Bipolar CUT modes
Diagrams
highCUT bipolar
400
350
Eī 10
Eī 9
Power [W]
250
Eī 8
Eī 7
Eī 6
200
Eī 5
Eī 4
150
Eī 3
Eī 2
100
Eī 1
IniƟal Incision Stage Eī 1-10
50
0
10
100
1000
Resistance [ohm]
Fig. 10-3
400
900
350
800
80114-601
03.16
highCUT bipolar
700
300
500
200
400
150
300
100
200
50
100
0
0
0
1
2
3
4
5
Eīect
Fig. 10-4
104 / 158
6
7
8
9
10
Peak Voltage [V]
600
250
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
300
Power
Upmax
11 • Bipolar COAG modes
softCOAG® bipolar
Properties
Slow, deep coagulation without spark generation, consequently no carbonization of
the tissue. Adhesion of the electrode to the tissue is greatly reduced.
Areas of use
All surgical procedures that call for safe coagulation with bipolar instruments. Coagulation in Bipolar resection.
AUTO START switchable
When the instrument touches tissue, coagulation starts automatically after a specified
period of time. AUTO START is not available with bipolar resection.
Touch the arrow on the lower edge of the main screen if required. The Assign activation type field opens. Drag the AUTO START symbol to the docking point of the required instrument.
AUTO STOP switchable
80114-601
03.16
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Chapter 11
Bipolar COAG modes
AUTO STOP ends activation automatically on attainment of sufficient desiccation.
AUTO STOP is not available with bipolar resection.
Touch the arrow on the lower edge of the main screen if required. The Assign activation type field opens. Drag the AUTO STOP symbol to the docking point of the required
instrument.
QuickStart switchable
With QuickStart, a brief voltage pulse is applied to the tissue to attain a tissue effect
quicker, without essentially influencing the coagulation result. QuickStart is not available with bipolar resection.
Touch the COAG effect display on the main screen if required. A window opens in which
you can switch on QuickStart.
Technical data
Type of HF voltage
Unmodulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
1.48 (at RL = 50 Ohm)
With bipolar resection: 1.48 (at RL =
25 Ohm)
Designed load resistance
50 Ohm
With bipolar resection: 25 Ohm
Max. HF peak voltage
200 V
450 V QuickStart
105 / 158
11 • Bipolar COAG modes
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
240 watts
Diagrams
soŌCOAG bipolar
250
200
Eī 10
Eī 9.0
Eī 8.0
150
Power [W]
Eī 7.0
Eī 6.0
Eī 5.0
100
Eī 4.0
Eī 3.0
Eī 2.0
Eī 1.0
50
Eī 0.1
10,0
100,0
80114-601
03.16
0
1000,0
Resistance [ohm]
Fig. 11-1
soŌCOAG bipolar
250
500
450
200
400
150
300
250
200
100
150
100
50
50
0
0
0
1
2
3
4
5
Eīect
Fig. 11-2
106 / 158
6
7
8
9
10
Peak Voltage [V]
350
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
With bipolar resection: 1 – 10
Power
Power QuickStart
Upmax
Upmax QuickStart
11 • Bipolar COAG modes
soŌCOAG bipolar (Bipolar ResecƟon)
250
200
Eī 9
150
Power [W]
Eī 8
Eī 7
Eī 6
Eī 5
100
Eī 4
Eī 3
Eī 2
Eī 1
50
0
10,0
100,0
1000,0
Resistance [ohm]
Fig. 11-3
soŌCOAG bipolar (Bipolar ResecƟon)
300
80114-601
03.16
250
250
200
150
150
100
Peak Voltage [V]
200
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Eī 10
Power
Upmax
100
50
50
0
0
0
1
2
3
4
5
6
7
8
9
10
Eīect
Fig. 11-4
107 / 158
11 • Bipolar COAG modes
forcedCOAG® bipolar
Fast bipolar coagulation.
Areas of use
All bipolar coagulation procedures in which you want to coagulate vessels fast and effectively or want to replace monopolar forceps coagulation.
AUTO START switchable
When the instrument touches tissue, coagulation starts automatically after a specified
period of time.
Touch the arrow on the lower edge of the main screen if required. The Assign activation type field opens. Drag the AUTO START symbol to the docking point of the required instrument.
AUTO STOP switchable
On detection of a spark, adhesion of tissue to the instrument and carbonization is significantly reduced by automatically switching off.
Touch the arrow on the lower edge of the main screen if required. The Assign activation type field opens. Drag the AUTO STOP symbol to the docking point of the required
instrument.
Technical data
108 / 158
Type of HF voltage
Unmodulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
3.8 (at RL = 100 Ohm)
Designed load resistance
100 Ohm
Max. HF peak voltage
550 V
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
144 watts
80114-601
03.16
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Properties
11 • Bipolar COAG modes
Diagrams
forcedCOAG bipolar
140
100
Eī 10
Power [W]
Eī 9.0
Eī 8.0
80
Eī 7.0
Eī 6.0
60
Eī 5.0
Eī 4.0
Eī 3.0
40
Eī 2.0
Eī 1.0
Eī 0.1
20
0
10
100
1000
Resistance [ohm]
Fig. 11-5
forcedCOAG bipolar
140
600
120
80114-601
03.16
500
100
80
300
60
Peak Voltage [V]
400
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
120
Power
Upmax
200
40
100
20
0
0
0
1
2
3
4
5
6
7
8
9
10
Eīect
Fig. 11-6
109 / 158
11 • Bipolar COAG modes
thermoSEAL®
Special COAG mode to seal vessels up to 7 mm diameter or to coagulate vascularized
tissue, without changing the settings. The appropriate Erbe instruments are required
to seal vessels up to 7 mm diameter.
Operating principle: The mode adapts the HF voltage and activation time to the
amount of tissue and the instrument used.
Areas of use
All surgical procedures that call for sealing vessels and tissue bundles. Only use with
vessel sealing instruments (e.g. Erbe BiClamp).
AUTO START switchable
When the instrument touches tissue, coagulation starts automatically after a specified
period of time.
Touch the arrow on the lower edge of the main screen if required. The Assign activation type field opens. Drag the AUTO START symbol to the docking point of the required instrument.
AUTO STOP
The AUTO STOP function is matched to the thermoSEAL mode.
If the user grips the tissue with the jaws and presses the branches together firmly, the
AUTO STOP function stops the activation automatically as soon as the necessary tissue
dessication is achieved.
If the user only presses the branches together lightly, e.g. in coagulation of vascularized tissue, no AUTO STOP occurs. In this case, the user ends the activation.
Technical data
110 / 158
Type of HF voltage
Unmodulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
1.45 (at RL = 25 Ohm)
Designed load resistance
25 Ohm
Max. HF peak voltage
200 V
Number of effects
1–2
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
360 watts
80114-601
03.16
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Properties
80114-601
03.16
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
11 • Bipolar COAG modes
Diagram
thermoSEAL
350
300
250
200
150
Eī 1-2
100
50
0
10
Resistance [ohm]
100
1000
Fig. 11-7
111 / 158
80114-601
03.16
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
11 • Bipolar COAG modes
112 / 158
12 • APC modes (only available with the APC module)
forcedAPC
Properties
Areas of use
Technical data
80114-601
03.16
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Chapter 12
APC modes (only available with the APC
module)
Effective, fast, “standard” argon plasma coagulation with ignition assistance for safe
ignition of the plasma.
Hemostasis of diffuse areas of bleeding, devitalization and reduction of tissue.
Type of HF voltage
Pulse-modulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
7.65 (at RL = 500 Ohm)
Designed load resistance
500 Ohm
Max. HF peak voltage
4300 V
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
144 watts
113 / 158
12 • APC modes (only available with the APC module)
Diagrams
forcedAPC
140
120
Eī 9.0
100
Power [W]
Eī 8.0
Eī 7.0
80
Eī 6.0
Eī 5.0
60
Eī 4.0
Eī 3.0
40
Eī 2.0
Eī 1.0
Eī 0.1
20
0
100,0
1000,0
Resistance [ohm]
Fig. 12-1
forcedAPC
140
5000
80114-601
03.16
4500
120
4000
100
3500
3000
80
2500
60
2000
1500
40
1000
20
500
0
0
0
1
2
3
4
5
Eīect
Fig. 12-2
114 / 158
6
7
8
9
10
Peak Voltage [V]
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Eī 10
Power
Upmax
12 • APC modes (only available with the APC module)
Properties
Fine argon plasma coagulation with well controllable hemostasis at the tissue surface,
largely independent of the distance between applicator and tissue.
Areas of use
Targeted, superficial coagulation for discrete findings in temperature-sensitive areas.
Technical data
Type of HF voltage
Pulse-modulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
7.76 (at RL = 1000 Ohm)
Designed load resistance
1,000 ohms
Max. HF peak voltage
4950 V
Number of effects
1 – 10
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
25 watts
Diagrams
preciseAPC
20
80114-601
03.16
18
16
Eī 10
14
Eī 9
12
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
preciseAPC®
Eī 8
Eī 7
10
Eī 6
Eī 5
8
Eī 4
Eī 3
6
Eī 2
Eī 1
4
2
0
100
1000
Resistance [ohm]
Fig. 12-3
115 / 158
80114-601
03.16
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
20
16
14
12
10
3000
8
6
4
0
0
116 / 158
1
2
3
4
5
6
7
8
9
Peak Voltage [V]
12 • APC modes (only available with the APC module)
preciseAPC
6000
18
5000
4000
Power
2000
Upmax
2
1000
10
0
Eīect
Fig. 12-4
12 • APC modes (only available with the APC module)
pulsedAPC®
Areas of use
Technical data
Controlled argon plasma coagulation with reduced energy input from pulses.
Hemostasis of diffuse areas of bleeding. Devitalization and reduction of tissue with
emphasis on controlled power output.
Type of HF voltage
Pulse-modulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
7.73 (at RL = 500 Ohm)
Designed load resistance
500 Ohm
Max. HF peak voltage
4950 V
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
144 watts
Diagrams
pulsedAPC
140
80114-601
03.16
120
Eī 10
100
Eī 9.0
Eī 8.0
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Properties
Eī 7.0
80
Eī 6.0
Eī 5.0
60
Eī 4.0
Eī 3.0
Eī 2.0
40
Eī 1.0
Eī 0.1
20
0
100
Resistance [ohm]
1000
Fig. 12-5
117 / 158
80114-601
03.16
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
140
100
80
3000
2500
60
2000
40
0
0
118 / 158
1
2
3
4
5
6
7
8
9
Peak Voltage [V]
12 • APC modes (only available with the APC module)
pulsedAPC
5000
120
4500
4000
3500
Power
Upmax
1500
20
1000
500
10
0
Eīect
Fig. 12-6
13 • Argon-supported modes (only available with the APC module)
autoCUT
Properties
PPS (Power Peak System)
Reproducible, smooth cuts, minimal to moderate hemostasis.
The autoCUT mode is equipped with PPS.
A special problem during incision may be posed by the initial incision phase, in particular when the cutting electrode is pressed firmly against the tissue to be cut, before
activation of the HF generator. The cutting electrode therefore has a relatively extensive, low-resistance contact with the tissue, e.g. in TUR.
In such cases, the HF generator must offer an above-average output so that the initial
incision is not delayed, as otherwise an excessive coagulation necrosis may be produced at the point of initial incision.
The VIO 3 is equipped with automatic power control (PPS). PPS detects low resistance
loads and controls the HF generator such that it briefly provides sufficient output to
ensure the HF voltage necessary or intensity of the electrical arc for the cutting quality
selected even with low-resistance loads.
80114-601
03.16
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Chapter 13
Argon-supported modes (only available
with the APC module)
Thanks to PPS, the average output can be limited to relatively low levels, something
which represents improved protection from unintentional thermal tissue damage.
Areas of use
Technical data
All cutting procedures in electrically conductive tissue: e.g. muscle tissue and vascular
tissue. Dissections and cutting of fine structures.
Type of HF voltage
Unmodulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
1.62 (at RL = 300 Ohm)
Designed load resistance
300 Ohm
Max. HF peak voltage
750 V
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
400 watts
119 / 158
13 • Argon-supported modes (only available with the APC module)
Diagrams
autoCUT
400
300
Eī 10
Eī 9.0
Eī 8.0
Power [W]
250
Eī 7.0
Eī 6.0
200
Eī 5.0
Eī 4.0
150
Eī 3.0
Eī 2.0
100
Eī 1.0
Eī 0.1
50
0
100,0
1000,0
Resistance [ohm]
Fig. 13-1
800
350
700
300
600
250
500
200
400
150
300
100
200
50
100
0
0
0
1
2
3
4
5
Eīect
Fig. 13-2
120 / 158
6
7
8
9
10
Peak Voltage [V]
400
80114-601
03.16
autoCUT
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
350
Power
Upmax
13 • Argon-supported modes (only available with the APC module)
highCUT
PPS (Power Peak System)
Reproducible, smooth cuts, in particular in poorly conductive and varying tissue.
The highCUT mode is equipped with PPS.
A special problem during incision may be posed by the initial incision phase, in particular when the cutting electrode is pressed firmly against the tissue to be cut, before
activation of the HF generator. The cutting electrode therefore has a relatively extensive, low-resistance contact with the tissue, e.g. in TUR.
In such cases, the HF generator must offer an above-average output so that the initial
incision is not delayed, as otherwise an excessive coagulation necrosis may be produced at the point of initial incision.
The VIO 3 is equipped with automatic power control (PPS). PPS detects low resistance
loads and controls the HF generator such that it briefly provides sufficient output to
ensure the HF voltage necessary or intensity of the electrical arc for the cutting quality
selected even with low-resistance loads.
Thanks to PPS, the average output can be limited to relatively low levels, something
which represents improved protection from unintentional thermal tissue damage.
Areas of use
Technical data
80114-601
03.16
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Properties
For example, for cutting fat-containing structures, cutting under water, e.g. with TURP.
Type of HF voltage
Unmodulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
1.62 (at RL = 300 Ohm)
Designed load resistance
300 Ohm
Max. HF peak voltage
1100 V
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of arc intensity
Max. output across the designed load
resistor
400 watts
121 / 158
13 • Argon-supported modes (only available with the APC module)
Diagrams
highCUT
400
350
Eī 10
Eī 9.0
250
Eī 8.0
Power [W]
Eī 7.0
Eī 6.0
200
Eī 5.0
Eī 4.0
150
Eī 3.0
Eī 2.0
100
Eī 1.0
Eī 0.1
50
0
100,0
1000,0
Resistance [ohm]
Fig. 13-3
highCUT
400
1200
80114-601
03.16
350
1000
300
200
600
150
400
100
200
50
0
0
0
1
2
3
4
5
Eīect
Fig. 13-4
122 / 158
6
7
8
9
10
Peak Voltage [V]
800
250
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
300
Power
Upmax
13 • Argon-supported modes (only available with the APC module)
dryCUT®
Areas of use
Technical data
Reproducible, slightly slower cut with pronounced hemostasis.
For example, cuts in “open surgery” and cuts in endoscopic operations that require
very good primary hemostasis during the cut and require a somewhat slower cutting
speed.
Type of HF voltage
Pulse-modulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
Effect: 0.1 – 4.9: 3.1 (at RL = 300 Ohm)
Effect: 5.0 – 7.9: 3.38 (at RL =
300 Ohm)
Effect: 8.0 – 10.0: 3.8 (at RL =
300 Ohm)
80114-601
03.16
Designed load resistance
300 Ohm
Max. HF peak voltage
1400 V
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
240 watts
Diagrams
dryCUT
250
200
Eī 10
Eī 9.0
Eī 8.0
150
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Properties
Eī 7.0
Eī 6.0
Eī 5.0
100
Eī 4.0
Eī 3.0
Eī 2.0
Eī 1.0
50
Eī 0.1
0
100,0
1000,0
Resistance [ohm]
Fig. 13-5
123 / 158
80114-601
03.16
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
250
150
1000
800
100
600
0
0
124 / 158
1
2
3
4
5
6
7
8
9
Peak Voltage [V]
13 • Argon-supported modes (only available with the APC module)
dryCUT
1600
1400
200
1200
Power
Upmax
50
400
200
10
0
Eīect
Fig. 13-6
13 • Argon-supported modes (only available with the APC module)
Properties
Slow, deep coagulation without spark generation, consequently no carbonization of
the tissue. Adhesion of the electrode to the tissue is greatly reduced.
Areas of use
All surgical procedures that call for safe, “deep” coagulation or in which adhesion of
the electrode would have a negative effect on the coagulation process.
AUTO STOP switchable
AUTO STOP ends activation automatically on attainment of sufficient desiccation.
Touch the arrow on the lower edge of the main screen if required. The Assign activation type field opens. Drag the AUTO STOP symbol to the docking point of the required
instrument.
QuickStart switchable
Technical data
80114-601
03.16
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
softCOAG®
With QuickStart, a brief voltage pulse is applied to the tissue to attain a tissue effect
quicker, without essentially influencing the coagulation result.
Type of HF voltage
Unmodulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
1.52 (at RL = 25 Ohm)
Designed load resistance
25 Ohm
Max. HF peak voltage
200 V
450 V QuickStart
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
240 watts
125 / 158
13 • Argon-supported modes (only available with the APC module)
Diagrams
soŌCOAG
250
Eī 10
Eī 9.0
Eī 8.0
150
Power [W]
Eī 7.0
Eī 6.0
Eī 5.0
100
Eī 4.0
Eī 3.0
Eī 2.0
Eī 1.0
50
Eī 0.1
0
10,0
100,0
1000,0
Resistance [ohm]
Fig. 13-7
soŌCOAG
250
80114-601
03.16
500
450
200
400
300
150
250
200
100
150
100
50
50
0
0
0
1
2
3
4
5
Eīect
Fig. 13-8
126 / 158
6
7
8
9
10
Peak Voltage [V]
350
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
200
Power
Power QuickStart
Upmax
Upmax QuickStart
13 • Argon-supported modes (only available with the APC module)
forcedCOAG®
Areas of use
AUTO STOP switchable
Effective, fast “standard” coagulation.
Contact coagulation, clamp coagulation, e.g. via insulated monopolar forceps.
On detection of a spark, adhesion of tissue to the instrument and carbonization is significantly reduced by automatically switching off.
Touch the arrow on the lower edge of the main screen if required. The Assign activation type field opens. Drag the AUTO STOP symbol to the docking point of the required
instrument.
Technical data
80114-601
03.16
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Properties
Type of HF voltage
Pulse-modulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
5.8 (at RL = 300 Ohm)
Designed load resistance
300 Ohm
Max. HF peak voltage
1800 V
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
144 watts
127 / 158
13 • Argon-supported modes (only available with the APC module)
Diagrams
forcedCOAG
140
Eī 10
100
Eī 9.0
Eī 8.0
Power [W]
80
Eī 7.0
Eī 6.0
Eī 5.0
60
Eī 4.0
Eī 3.0
Eī 2.0
40
Eī 1.0
Eī 0.1
20
0
100
1000
Resistance [ohm]
Fig. 13-9
forcedCOAG
140
80114-601
03.16
2000
1800
120
1600
100
1400
1200
80
1000
60
800
600
40
400
20
200
0
0
0
1
2
3
4
5
Eīect
Fig. 13-10
128 / 158
6
7
8
9
10
Peak Voltage [V]
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
120
Power
Upmax
13 • Argon-supported modes (only available with the APC module)
swiftCOAG®
Areas of use
Technical data
Fast, effective coagulation, which is highly suitable for preparation with high hemostasis owing to its limited tissue-cutting property.
Coagulation and preparation.
Type of HF voltage
Pulse-modulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
6.0 (at RL = 200 Ohm)
Designed load resistance
200 Ohm
Max. HF peak voltage
2500 V
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
240 watts
Diagrams
swiŌCOAG
250
80114-601
03.16
200
Eī 10
Eī 9.0
Eī 8.0
150
Eī 7.0
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Properties
Eī 6.0
Eī 5.0
100
Eī 4.0
Eī 3.0
Eī 2.0
Eī 1.0
50
Eī 0.1
0
100
1000
Resistance [ohm]
Fig. 13-11
129 / 158
80114-601
03.16
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
250
200
150
1500
100
50
0
0
130 / 158
1
2
3
4
5
6
7
8
9
Peak Voltage [V]
13 • Argon-supported modes (only available with the APC module)
swiŌCOAG
3000
2500
2000
Power
1000
Upmax
500
10
0
Eīect
Fig. 13-12
13 • Argon-supported modes (only available with the APC module)
preciseSECT
Areas of use
Technical data
Fast, effective coagulation, with limited tissue-cutting property. Optimized preparation
characteristics through dynamic adaptation of modulation.
Coagulation, clamp coagulation and preparation
Type of HF voltage
Pulse-modulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
4.0 (at RL = 300 Ohm)
Designed load resistance
300 Ohm
Max. HF peak voltage
1800 V
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
144 watts
Diagrams
140
80114-601
03.16
preciseSECT
120
Eī 10
100
Eī 9.0
Eī 8.0
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Properties
80
Eī 7.0
Eī 6.0
Eī 5.0
60
Eī 4.0
Eī 3.0
Eī 2.0
40
Eī 1.0
Eī 0.1
20
0
100,0
1000,0
Resistance [ohm]
Fig. 13-13
131 / 158
80114-601
03.16
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
140
100
80
1200
1000
60
800
40
0
0
132 / 158
1
2
3
4
5
6
7
8
9
Peak Voltage [V]
13 • Argon-supported modes (only available with the APC module)
preciseSECT
2000
120
1800
1600
1400
Power
Upmax
600
20
400
200
10
0
Eīect
Fig. 13-14
13 • Argon-supported modes (only available with the APC module)
twinCOAG®
Fast, effective coagulation, which is highly suitable for preparation with high hemostasis owing to its limited tissue-cutting property. Two monopolar instruments can be
activated at the same time.
WARNING! In the twinCOAG mode, the output power of any of the active electrodes
can change.
Areas of use
Technical data
Coagulation and preparation with simultaneous activation
Type of HF voltage
Pulse-modulated sinusoidal AC voltage
Nominal frequency
350 kHz (no load) ±10%
Crest factor
5.9 (at RL = 150 Ohm)
Designed load resistance
150 Ohm
Max. HF peak voltage
2000 V
Number of effects
0.1 – 10.0
Consistency of effects
Automatic control of HF peak voltage
Max. output across the designed load
resistor
240 watts
Diagrams
twinCOAG
250
200
Eī 10
Eī 9.0
Eī 8.0
150
Eī 7.0
Power [W]
80114-601
03.16
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Properties
Eī 6.0
Eī 5.0
100
Eī 4.0
Eī 3.0
Eī 2.0
Eī 1.0
50
Eī 0.1
0
100
1000
Resistance [ohm]
Fig. 13-15
133 / 158
80114-601
03.16
Power [W]
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
250
2500
200
2000
150
1500
100
1000
50
500
0
0
134 / 158
1
2
3
4
5
6
7
8
9
Peak Voltage [V]
13 • Argon-supported modes (only available with the APC module)
twinCOAG
Power
Upmax
10
0
Eīect
Fig. 13-16
14 • Installation
Ambient conditions
WARNING
Ignition of anesthetics, skin cleansers, and disinfectants in potentially explosive atmospheres
If you place the device in a potentially explosive atmosphere, anesthetics, skin cleansers, and disinfectants can ignite.
Risk of fire and explosion to the patient and medical personnel! Risk
of damage to property.
 Do not place the device in potentially explosive atmospheres.
NOTICE
Interference with the unit by portable and mobile HF communication devices (e.g. mobile phones, WLAN equipment)
Electromagnetic waves emitted by portable and mobile HF communication devices can effect the unit.
The unit may fail or not perform properly.
80114-601
03.16
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
Chapter 14
Installation
 Please see the table "Recommended separation distances between portable and mobile HF communications equipment and
the equipment" at the end of this User Manual.
NOTICE
Unsuitable temperature or level of humidity during operation
If you operate the equipment at an unsuitable temperature or level
of humidity, it may sustain damage, fail, or not perform properly.
 Operate the equipment at a suitable temperature and level of humidity. You will find the tolerances for temperature and humidity
in the Technical Data.
 If other ambient conditions must be observed for operation of the
equipment, you will also find them in the Technical Data.
NOTICE
Unsuitable temperature or humidity in transit or storage
If you transport or store the equipment at an unsuitable temperature
or level of humidity, it may sustain damage and fail.
 Transport and store the equipment at a suitable temperature and
level of humidity. You will find the tolerances for temperature and
humidity in the Technical Data.
 If other ambient conditions must be observed for transport and
storage of the equipment, you will also find them in the Technical
Data.
135 / 158
14 • Installation
NOTICE
Insufficient acclimatization time, unsuitable temperature during
acclimatization
If the device was stored or transported below or above a certain temperature, it will take a certain time and temperature to acclimatize.
 Acclimatize the device according to the rules in the Technical Data.
NOTICE
Overheating of the device due to poor ventilation
If ventilation is poor, the device can overheat, sustain damage, and
fail.
 Install the device in such a way that there is an unobstructed circulation of air around the housing. Installation in confined wall recesses is prohibited.
NOTICE
Penetration of liquid into the device
The housing is not absolutely watertight. If liquid penetrates, the device can sustain damage and fail.
 Make sure no liquid can penetrate the device.
 Do not place vessels containing liquids on top of the device.
80114-601
03.16
Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original.
If you do not observe the rules, the device can sustain damage and
fail.
Electrical installation
WARNING
Defective grounded power outlet, power supply network without
proper grounding, inferior-quality power cord, incorrect line voltage, multiple power outlets, extension cords
Risk of electric shock and other injuries to the patient and medical
personnel! Risk of damage to property.
 Connect the unit / the equipment cart to a properly installed
grounded power outlet.
 Only connect the unit to a power supply network with proper
grounding.
 Only use the Erbe power cord or an equivalent power cord for this
purpose. The power cord must bear the applicable national test
symbol.
 Check the power cord for damage. You must not use a damaged
power cord.
 The supply voltage must match the voltage specified on the unit's
rating plate.
 Do not use multiple power outlets.
 Do not use extension cords.
136 / 158
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